Nutrition and HIV/AIDS: A Training Manual - Linkages Project

A. Nutrition history• Dietary intake and adequacy• Eating habits• Food intolerance and aversions to related symptoms• Dietary problems (e.g., poor appetite, difficulty chewing and swallowing,gastrointestinal problems, and pain in the mouth and gums)• Hygiene and food preparation and handling practices• Psychosocial factors contributing to inadequacy of intake, such as socialisolation, depression, stigma, and inability to prepare food• Fatigue• Physical activity• Knowledge of food and nutrition issues• Use of vitamin and mineral supplements and alternative practicesB. Physical assessment• Anthropometric measurementso Pregnant woman: Height, pre-pregnancy weight, weight gain duringpregnancy (at least 1 kg per month in the second and third trimesters)o Lactating woman: height, current weight, pre-pregnancy weight, weightduring pregnancy and 6 weeks post-partum; body mass index (BMI) of lessthan 18.5 indicates nutrition risk• Measurement of mid-upper-arm circumference (MUAC) for evidence of loss ofmuscle mass; less than 23 cm indicates nutrition risk143